Why Does My Mockup Of Midface Augmentation Look Unnatural Around The Eyes?

Q: Dr. Eppley, Interested in midface augmentation to address some recession and rhinoplasty. Possibly minor bone reduction and implants to resolve some asymmetry. Attached a mockup of what I’m looking for, but it looks kinda unnatural in the eyes.

A:Thank you for your inquiry and sending your pictures. I have toggled back-and-forth between the before and afters and your perception of why it looks unnatural around the eyes is that it’s augmentation effect is greater than that of the midface below creating an aesthetic mismatch. It’s not that there is not benefit to infraorbital-malar augmentation, just a balancing that with her mid face augmentation below it can be challenging.

Dr. Barry Eppley

World-Renowned Plastic Surgeon